A nurse is preparing to administer gentamicin to a child who weighs 44 lb. The provider prescribes 6 mg/kg/day IV to be administered in three equal doses. Available is gentamicin 40 mg/mL. How many mL should the nurse administer with each dose?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["1"]
Step 1: Convert the child's weight from pounds to kilograms.
44 pounds / 2.2 pounds/kg = 20 kg
Step 2: Calculate the child's total daily dose of gentamicin.
20 kg * 6 mg/kg/day = 120 mg/day
Step 3: Divide the child's total daily dose of gentamicin by the number of doses per day.
120 mg / 3 doses/day = 40 mg/dose
Step 4: Calculate the volume of gentamicin to be administered with each dose.
40 mg / 40 mg/mL = 1 mL/dose
Step 5: Round the answer to the nearest whole number and add a leading zero if necessary.
1 mL/dose = 1 mL/dose
Answer: 1 mL with each dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Choice B rationale:
While staying hydrated is generally good advice, there’s no specific requirement to drink up to one liter of fluid per day while taking fexofenadine.
Choice C rationale:
Fexofenadine should not be taken with fruit juices such as orange juice because they can decrease the absorption of the medication, making it less effective.
Choice D rationale:
Fexofenadine can cause side effects such as dizziness or drowsiness in some people. Therefore, it’s important to avoid driving or operating heavy machinery until you know how this medication affects you.
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Choice A rationale:
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Choice B rationale:
Antacids can interfere with the absorption of tetracycline, reducing its effectiveness. Therefore, they should be taken 3 hours before or after taking tetracycline.
Choice C rationale:
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Choice D rationale:
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